Acne vulgaris (youthful)

Acne vulgaris (juvenile) is a skin disease that occurs mainly in the pubertal period and is characterized by a purulent-inflammatory lesion of the sebaceous glands on the background of seborrhea.

The etiology is unknown. Pathogenesis is caused by seborrhea, the complication of which they are. The main role is played by seborrhea-specific decrease in bactericidal activity of sebum leading to activation of saprophytic cocci flora.

The clinical picture is characterized by evolution polymorphism of vysypnyh elements located on seborrheal sites (the face, a breast, a back). At the base of comedones (sebaceous plugs) there are inflammatory nodules (papular acne), which then transform into pustules of different size and depth (pustular and phlegmonous acne). In some cases, suppuration begins with deep layers of the skin and leads to the formation of soft hemispherical nodes - fluctuating and abscessing cyanotic red (conglobata acne). The contents of the pustules wither in the crust, on the fall of which remain cyanotic-pink spots or scars. Deep acne is painful. The variegation of the clinical picture is due to the continuous, usually long-term course of the process.

Treatment depends on the depth and extent of the process. In severe cases, repeated courses of antibiotics (tetracycline 0.2 g 3-4 times a day), immunopreparations (staphylococcal autovaccine, staphylococcal anatoxin), indomatacin, vitamins (A, B6, pangexavit, decamewith), electrocoagulation, ultraviolet irradiation, hot shower. In light cases, enough vitamin therapy, degreasing and disinfecting local remedies (Vidal's milk, 1-2% salicylic alcohol, 5% levomycetin alcohol, mask of paste sulsen). Restriction of fat, spicy and sweet food. Correction of neural-endocrine disorders.

The prognosis is favorable. Usually by 20-25 years there comes a spontaneous cure. After deep forms, scars remain.

Prevention is reduced to the treatment of seborrhea.